| NPI | 1730574385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO DR.0066429) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 278919) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CO DR.0066429) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 278919) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-12-07 |